Health Snapshot of District 11

Health Snapshot: District 11
Commissioner Juan C. Zapata
The Office of Countywide Healthcare Planning (OCHP) is the health planning agency tasked with finding real
solutions to critical health problems facing Miami-Dade County.
This snapshot correlates OCHPs key initiatives to the issues and priorities facing residents of District 11
[includes District 11 zip codes: 33165, 33174, 33175, 33183, 33184, 33185, 33186, 33193, 33194, 33196]
Achieving a Network of Integrated Community-Based Medical Homes
OCHP is leading a MDC-wide comprehensive planning process to develop a roadmap that will become the guide for
leveraging both additional capital and operating dollars to expand our health delivery system. The Goal is to turn
Community Health Systems into full spectrum portals to comprehensive health and services.
Leveraging – $25M in GOB for Primary Care Facilities capital funds to generate nearly 150,000 added
primary care visits (over 3 years) from the County’s existing 7 Federally Qualified Health Centers (FQHCs)
Health Access Snapshot – District 11:
•
•
•
Health Centers Serving District 11: (See map)
o Federally Qualified Healthcare Center
Borinquen Health Care Center Inc
–
BHCC West Dade Center
th
10528 SW 8 St, Miami 33174
Hospitals (See map):
o Kendall Regional Hospital
o West Kendall Baptist Hospital
th
11750 SW 40 St, Miami 33175
nd
9555 SW 162 Ave, Miami 33196
6
Health Navigators and Community Health Workers (serving included zips) are trained as entry points
to primary care medical homes, chronic disease management, inpatient care and provide assistance with
social service program eligibility and enrollment.
o 4 Health Navigator sites
o 4 Community Health Worker sites
o 21 schools have Health Connect in Our Schools Teams
1,5
ZIP
MEDICAID ENROLLED
% of Residents
District 11
33165
9,882
17.6%
33174
5,416
16.7%
33175
8,346
15.7%
33183
5,195
14.5%
33184
3,407
16.2%
33185
3,009
11.1%
33186
6,927
10.3%
33193
7,376
16.0%
33194
645
8.3%
33196
5,175
11.9%
Total
55,378
14.2%
Target Population: Low Income Adults, including the
Parents of Medicaid-Enrolled Children
The Uninsured: District 11
•
About 88,723 residents in District 11 are estimated not
to have Health Insurance. That is 16% of Miami-Dade
2
County’s uninsured– See Map
•
14% of residents of District 11 are enrolled in
1,5
Medicaid
•
Median Household Income – Median income for
District 11 residents was estimated at $44,623, ranging
from $33,616 (zip 33174) to $57,029 (zip 33185).
5
Office of Countywide Healthcare Planning – August 2012
ER Diversion & Chronic Disease Management
Dual initiatives utilizing evidence-based approaches will assist individuals seeking primary care in receiving an
immediate appointment – while still in the ER – for a primary care visit in their neighborhood. For individuals living
with chronic diseases, the initiative focuses electronic-enabled mechanisms for the identification of conditions, case
management by licensed professionals, and guided treatment.
4
Sampling of Chronic Disease Indicators from District 11 :
•
Diabetes – 14% (90) of the County’s deaths due to diabetes were residents of District 11.
o
•
Zip code 33175 accounted for 30% of District 11’s deaths due to diabetes.
Influenza & Pneumonia – 15% of the County’s 229 deaths due to influenza and/or pneumonia were District
11 residents.
o
Zip code 33165 accounted for 38% of District 11’s deaths due to influenza and/or pneumonia.
•
Breast Cancer – 20% of the County’s 309 deaths due to breast cancer were residents of District 11.
•
Cardiovascular Disease – 14% (833) of the County’s 5,916 deaths due to cardiovascular disease were
residents of District 11.
o
Zip code 33165 accounted for 27% of the deaths due to cardiovascular disease within District 11.
3
Emergency Room Visits from District 11 Residents :
•
Over 95,000 visits to Miami-Dade County Emergency Departments were made by District 11 residents in
2011.
•
13% of the total number of ER visits by Miami-Dade County residents was made by residents of District 11.
Health Statistics at Zip Code and District Levels
OCHP has developed critical relationships with State and local data sources to build a comprehensive database of
nationally-comparative health and demographic data, as well as, health utilization and health system infrastructure.
OCHP is able to present this data in baseline, trend analysis, projection and GIS formats. Attached are some of the
maps that have been produced detailing District 11:
•
District 11 Close-up – Details the names and locations of each of the major primary care facilities and
hospitals in District 11
•
Miami-Dade County Safety-Net & Primary Care Centers – Details the names and locations of each of the
County’s Federally Qualified Healthcare Centers and Jackson Health System Primary Care Centers, as well
as, identifies the locations of all county hospitals. District 11 boundaries are outlined in red
•
Miami-Dade County Distributions of the Population and the Uninsured – Describes the areas of highest
to lowest concentrations of the population in all of Miami-Dade County, overlaid by the distribution of
uninsured and specifically outlines Commission District 11
•
Miami-Dade County Distribution Below Poverty – Details the population density of individuals below the
federal poverty level by census tract and outlines Commission District 11 boundaries in red
Sources:
1
Department of Children and Families, 11/2011
2
Florida Health Insurance Study, 2004
3
Florida Agency for Health Care Administration - Florida Emergency Department Data File 2011
4
Florida Department of Health – Resident Deaths database 2010
5
U.S. Census, 2000 & 2010
6
The Children’s Trust, 2012
Note: Data were analyzed based on the included zip code boundaries and are not exclusive of the District boundary
Office of Countywide Healthcare Planning – August 2012
District 11 and Surrounding Districts, Miami-Dade County
33182
33192
Jose "Pepe" Diaz
33194
33172
Borinquen-West Dade
33174
33184
!
(
33165
Kendall Regional Medical Center
33175
33185
Juan C. Zapata
!
(
Sen. Javier D. Souto
33173
33183
33193
33283
!
(
West Kendall Baptist Hospital
Xavier L. Suarez
33116
33176
Lynda Bell
33186
33196
Legend
!
(
Y
X
!
(
Hospital
Jackson Primary Care Center
Federally Qualified Health Center
Zapata 11
Souto 10
Diaz 12
Bell 8
33187
Dennis C. Moss
Moss 9
Suarez 7
33157
33177
Source: ITD Commission Districts; U.S. Census 2010 Zip Code Boundaries; OCHP Health Care facilities.
0 0.25 0.5
1 Miles
µ
Produced by: Office of Countywide Healthcare Planning, 11/2012
Miami-Dade County Safety-Net Providers
Federally Qualified Health Centers, Free Clinics, & JHS Primary Care Centers
33180
33179
33015
33018
Y
X
33054
33014
33169
(
!
(
!
Citrus
(
!
33162
Borinquen-North Miami
33168
Citrus-Maternal & Child
33147
33013
33012
(
!
33010
(
!
JT-North
33182
33174
(
!
33184
33194
33122
MB-Beverly Press
33141!
(
(33138
!
(!
!
(
Borinquen-West Dade
33144
33127
(
!
!!
(
(
33134
33125
Camillus
Banyan-Flagler 33130
( 33132
!
33135
Y
X
33139
(
!
Peñalver MB-Stanley C. Meyers
33129
33145
33131
33109
33149
HB Bentley
33155
33140
Borinquen-Behavioral Health
33136
33126
33165
33175
33185
33154
(
!
JT-Headquarters Care Resource Borinquen
33152
33172
33181
MB-North Miami
JT-Flamingo
JT-Jesse Trice 33137
33142
33192
33161
(
!
Borinquen-Carrie Meek
33150
33166
33160
North Dade Health Center
33167
33016
33178
JT-Norland
33056
33055
(33133
!
33146
33193
33183
33143
33173
33283
33116
33156
33176
33186
33196
33158
33157 CHI-West Perrine
(
!
33177
33187
33197
33189 CHI-Doris Ison
(
!
33170
33032
33031
(
!
33030
(
!
CHI-MLK Jr.
33190
CHI-Naranja
Legend
(
!
33033
(
!
CHI-South Dade
33039
Federally Qualified Health Center
Y
X
Jackson Primary Care Center (PCC)
Y
X
Dr. Rafael Peñalver Clinic
District 11
0
(
!
33034
CHI-Everglades
33035
1
2
µ
4 Miles
7 Current FQHC Section 330 Grantees:
Borinquen - Borinquen Health Care Center
Camillus - Camillus Health Concern
CHI - Community Health Of South Florida, Inc.
Citrus - Citrus Health Network
HB Bentley - Helen B. Bentley Family Health Center
JT - Jessie Trice Community Health Center
MB - Miami Beach Community Health Center
2 New FQHC Section 330 Grantees:
Banyan - Banyan Health System
Care Resource
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution of the Population and the Uninsured
33056
33055
33015
33169
33054
33014
33167
33016
33012
33178
33013
33147
33144
33134
33155
33165
33175
33185
33127
33136
33125
33126
33174
33184
33194
33150
33122
33152
33154
33141
33138
33151
33142
33172
33181
33161
33168
33153
33010
33166
33182
33160
33162
33018
33192
33180
33179
33135
33128
33130
33145
33129
33140
33137
33139
33132
33131
33109
33149
33133
33146
33193
33183
33143
33173
33283
33116
33156
33176
33186
33196
33158
33157
33177
33187
33197
33189
33170
33190
33032
33031
Legend
µ
District 11
Zip Codes
33030
33033
33039
Population Distribution
1 - 7,000
7,001 - 23,000
23,001 - 36,000
36,001 - 50,000
50,001 - 72,248
33034
33035
Distribution Uninsured Gradient
66 - 4,668
4,669 - 9,661
9,662 - 19,158
0
Source: U.S. Census 2010; Florida Health Insurance Study 2004
1
2
4 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012
Miami-Dade County
Distribution Below the Poverty Level
33180
33180
33179
33179
33015
33015
33056
33056
33055
33055
33169
33169
33054
33054
33014
33014
33016
33016
33167
33167
33012
33012
33178
33178
33010
33010
33166
33166
33194
33194
33175
33175
33185
33185
33125
33125
33126
33126
33184
33184
33150
33150
33141
33141
33138
33138
33127
33127
33140
33140
33137
33137
33122
33122
33152
33152
33172
33172
33154
33154
33151
33151
33142
33142
33192
33192
33181
33181
33161
33161
33168
33168
33153
33153
33013
33013
33147
33147
33182
33182
33160
33160
33162
33162
33018
33018
33174
33174
33144
33144
33165
33165
33155
33155
33134
33134
33136
33136
33128
33128
33135
33135
33130
33130
33145
33145
33129
33129
33139
33139
33132
33132
33131
33131
33109
33109
33149
33149
33133
33133
33146
33146
33143
33143
33173
33173
33183
33183
33193
33193
33283
33283
33116
33116
33186
33186
33196
33196
33156
33156
33176
33176
33158
33158
33157
33157
33177
33177
33187
33187
33197
33197
33189
33189
33190
33190
33170
33170
33031
33031
33032
33032
33030
33030
33039
33039
33034
33034
33035
33035
µ
33033
33033
Legend
Census Tract
Below Poverty Level
0% - 9%
10% - 17%
18% - 27%
28% - 43%
44% - 86%
Zip Codes
District 11
0
Source: U.S. Census, 2010
1.25
2.5
5 Miles
Produced by: Office of Countywide Healthcare Planning, 08/2012